Mountain Mud'R


Lincolnshire Park
611 East Riverside Dr.
Tazewell, VA 24651, Tazewell, VA

8/3/2019


11:00 p.m.
Registration 8:00 - 10:00 a.m.

Pre-registration:
(ends 08/25/2017)
Mountain Mud'R - Race/Open: $40 until Aug. 25, 2017
Mud'R Jr.: $15 until Aug. 25, 2017
| Regular
| Registration:
Mountain Mud'R - Race/Open: $50 Aug. 26 - Sept. 9, 2017
Mud'R Jr.: $20 Aug. 26 - Sept. 9, 2017
Make checks payable to: Soles4Service, Inc.
Mail this form to: Mountain Mud'R
PO Box 285
Tazewell, VA 24651
Mountain Mud'R - Race: Awards to top 3 Overall Male/Female
Mountain Mud'R - Open & Mud'R Junior - No Awards
T-shirts guaranteed to pre-registered runners
Finisher's medalions to all participants of all events.
Headphones are NOT permitted on the course | Strollers are NOT permitted on the course
For more info contact
Tazewell County's Extreme Mud Run w/Obstacles
Race Director: Charity McDaniel
Email: cdmcdani@vt.edu
Register online: Coming soon!
Mountain Mud'R - Race
Male & Female Awards:

Overall (top 3)


...14,15-19,20-24,25-29,30-34,35-39,40-44,45-49,50-54,55-59,60-64,65...
Mountain Mud'R - Open
Male & Female Awards:




...14,15-19,20-24,25-29,30-34,35-39,40-44,45-49,50-54,55-59,60-64,65...

Mountain Mud'R

LAST NAME__________________________________ FIRST NAME_________________________ M.I._______

SEX____ DATE OF BIRTH____/____/____ AGE ON RACEDAY_____ E-MAIL____________________________

ADDRESS___________________________________________________________________________

CITY________________________ STATE_________ ZIP___________ PHONE (_______)_______-___________

RACE DAY EMERGENCY CONTACT (NAME AND PHONE)_________________________________________

*** CIRCLE EVENT: Mountain Mud'R - Race | Mountain Mud'R - Open

*** CIRCLE SHIRT SIZE: SM, MD, LG, XL,

IN CONSIDERATION FOR ACCEPTING MY ENTRY IN THIS RACE, I FOR MYSELF, MY HEIRS, EXECUTORS AND ADMINISTRATORS, WAIVE AND RELEASE FOREVER ANY AND ALL RIGHTS AND CLAIMS FOR DAMAGES I MAY HAVE AGAINST THE ORGANIZERS AND SPONSORS OF THIS EVENT. I ALSO RELEASE THE ABOVE NAMED FOR ALL CLAIMS OF DAMAGE DEMANDS, AND ACTIONS IN ANY MANNER DUE TO ANY PERSONAL INJURIES, PROPERTY DAMAGE, OR DEATH SUSTAINED AS A RESULT OF MY TRAVELING TO AND FROM AND MY PARTICIPATION IN SAID RACE. I ATTEST AND VERIFY THAT I AM PHYSICALLY FIT AND HAVE SUFFICIENTLY TRAINED FOR THE COMPETITION OF THIS EVENT. IN FILLING OUT THIS FORM, I ACKNOWLEDGE I HAVE READ AND FULLY UNDERSTAND MY OWN LIABILITY AND ABILITY. STROLLERS ARE NOT ALLOWED ON THE RACE COURSE. PARTICPANTS USING HEADPHONES ARE NOT ALLOWED ON THE RACE COURSE.

SIGNATURE_____________________________ DATE_____/_____/_____ (Parent signature if under the age of 18)


This entry form was generated with the SFTC Calendar Utility at www.runtricities.org